Individual
KENDYL DIANE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1920 SWARTHMORE AVE STE 5, LAKEWOOD, NJ 08701-4780
(215) 839-6144
Mailing address
301 S FAWN ST, PHILADELPHIA, PA 19107-5912
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC018773
PA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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